How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $218.78 | Facility | 26 · Professional part | $70.79 | $93.33 | $218.78 |
Aetna Setting Professional Modifier Global Typical Low $194.98 Median $478.63 Typical High $1,258.93 | Professional | Global | $194.98 | $478.63 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $288.40 | Professional | 26 · Professional part | $66.07 | $117.49 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $186.21 Typical High $398.11 | Professional | 52 · Reduced service | $97.72 | $186.21 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $269.15 Typical High $676.08 | Professional | TC · Technical part | $112.20 | $269.15 | $676.08 |
Ambetter Setting Professional Modifier Global Typical Low $190.55 Median $229.09 Typical High $478.63 | Professional | Global | $190.55 | $229.09 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $64.57 | $109.65 | $177.83 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $112.20 | $158.49 | $204.17 |
BCBS Setting Professional Modifier Global Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | Global | $199.53 | $199.53 | $199.53 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $186.21 Typical High $213.80 | Professional | 26 · Professional part | $123.03 | $186.21 | $213.80 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $602.56 Typical High $870.96 | Professional | TC · Technical part | $346.74 | $602.56 | $870.96 |
Cigna Setting Professional Modifier Global Typical Low $218.78 Median $489.78 Typical High $954.99 | Professional | Global | $218.78 | $489.78 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $112.20 Typical High $213.80 | Professional | 26 · Professional part | $61.66 | $112.20 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $323.59 Typical High $758.58 | Professional | TC · Technical part | $138.04 | $323.59 | $758.58 |
Medcost Setting Professional Modifier Global Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | Global | $812.83 | $812.83 | $812.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Oscar Health Setting Professional Modifier Global Typical Low $70.79 Median $147.91 Typical High $323.59 | Professional | Global | $70.79 | $147.91 | $323.59 |
United Setting Professional Modifier Global Typical Low $186.21 Median $354.81 Typical High $812.83 | Professional | Global | $186.21 | $354.81 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $281.84 | Professional | 26 · Professional part | $67.61 | $91.20 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $123.03 | $234.42 | $562.34 |
Wellcare Setting Facility Modifier 26 · Professional part Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 26 · Professional part | $446.68 | $446.68 | $446.68 |
Wellcare Setting Professional Modifier Global Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | Global | $3,019.95 | $3,019.95 | $3,019.95 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,570.40 | $2,570.40 | $2,570.40 |
Where North Carolina sits
The same service costs 2.6 times more in Wisconsin than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Carolina· 13th of 51
$479
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.